Anatomic All-Inside Anterior Cruciate Ligament Reconstruction Using Quadriceps Tendon Autograft  Timothy S. Crall, M.D., Brian B. Gilmer, M.D.  Arthroscopy Techniques  Volume 4, Issue 6, Pages e841-e845 (December 2015) DOI: 10.1016/j.eats.2015.08.004 Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 1 (A) Distal end of graft after whipstitching with FiberLoop (in blue). The BTB TightRope will be placed at the X. (B) Assembling BTB TightRope through distal end of graft: FiberLoop sutures (a); free end of TightRope limb passed through suture trap and button by blue passing suture (b); TightRope loop passed through graft with straight needle (c; needle removed, not shown); TightRope tensioning limbs (d); and passing suture (e). Arthroscopy Techniques 2015 4, e841-e845DOI: (10.1016/j.eats.2015.08.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 2 The ABS TightRope (in white) is placed between the superficial and deep layers of the (originally) proximal end of the graft. The path of the FiberLoop (in blue) for the whipstitch is shown. Arthroscopy Techniques 2015 4, e841-e845DOI: (10.1016/j.eats.2015.08.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 3 Final construct of tibial side of graft with ABS TightRope (in white) and FiberLoop (in blue). Arthroscopy Techniques 2015 4, e841-e845DOI: (10.1016/j.eats.2015.08.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 4 Right knee (medial is on right and superior is at top of image, with patella shown as dashed line centrally) before passage of BTB TightRope sutures. The sutures are passed using the FiberStick (in blue). Both the FiberStick and TigerStick have been docked out of the anteromedial portal before any sutures are passed. Arthroscopy Techniques 2015 4, e841-e845DOI: (10.1016/j.eats.2015.08.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions

Fig 5 Right knee (medial is on right and superior is at top of image, with patella shown as dashed line centrally) before passing free No. 2 FiberWire, secondary tibial graft-passing suture, and ABS TightRope. The order for suture pulling is marked. The TigerStick (dashed lines) is pulled first, docking the free No. 2 FiberWire (in dark blue) and the secondary tibial graft-passing suture (in light blue) out of the inferior tibial incision. The free No. 2 FiberWire is pulled second, retrieving the ABS TightRope out of the inferior tibial incision. The secondary graft-passing suture is pulled third, docking the tibial side of the graft into the tibial socket. Finally, the ABS TightRope is tensioned, after the external ABS Button has been attached. Arthroscopy Techniques 2015 4, e841-e845DOI: (10.1016/j.eats.2015.08.004) Copyright © 2016 Arthroscopy Association of North America Terms and Conditions